Individual
AARON RICHARD MOON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 831-1841
(920) 831-1834
Mailing address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 831-1841
(920) 831-1834
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
Primary
3799
WI
Other
Enumeration date
08/01/2016
Last updated
10/06/2021
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